scholarly journals Social adaptive potential of mentally ill patients with concomitant pathology

2021 ◽  
Vol 11 (7) ◽  
pp. 310-315
Author(s):  
Ye. Oprya ◽  
E. Melnyk ◽  
Ya. Biesieda ◽  
Ye. Kozishkurt

The paper presents the results of research devoted to determination of social-adaptive potential of schizophrenic patients with concomitant somatic pathology by analyzing the parameters of socio-personal functioning, quality of life and compliance. The analysis of social and personal functioning of patients was carried out according to the results of the PSP scale (Personal and Social Performance Scale), which allowed to assess the social status of patients and their functioning in certain areas of life. The quality of life of patients with schizophrenia in the surveyed groups was assessed using the results of the health questionnaire The 36-Item Short Form Survey (SF-36). According to the results of the research, it was found that when schizophrenia is combined with somatic disorders, there is a decrease in the level of socio-personal functioning, quality of life and compliance of patients. The social and personal functioning of patients with schizophrenia in its combination with somatic disorders was especially complicated in the areas of socially useful activities and self-care (in schizophrenia with obesity) and in the field of social relations and restless/aggressive patterns of behavior (in schizophrenia with DM 2). According to the assessment of quality of life in certain areas, it was found that in patients with schizophrenia with CVD and obesity, there was a decrease in physical functioning and limitation of daily functioning due to physical condition, as well as mental depression (the presence of severe depression and anxiety); in patients with schizophrenia with DM 2 - a decrease in daily functioning, due to emotional state; and in patients with obesity - also a decrease in social functioning; and a general decline in general health that was common to all patients with somatic disorders. The decrease in the level of compliance of patients with schizophrenia with somatic disorders was due to insufficient formation of factors related to the patient (perception and awareness of the disease, features and severity of symptoms, relapses, features of social functioning and adaptation) and attitudes towards treatment. According to the data obtained, the most dangerous in focus of social functioning it was the combination of schizophrenia with obesity. The results of the study show that the combination of schizophrenia with somatic diseases is associated with a decrease in social functioning, quality of life and compliance with patients, which leads to a negative social prognosis and requires the attention of clinicians.

2001 ◽  
Vol 94 (2) ◽  
pp. 211-216 ◽  
Author(s):  
Helen C. Martin ◽  
Jagjit Sethi ◽  
Dorothy Lang ◽  
Glen Neil-Dwyer ◽  
Mark E. Lutman ◽  
...  

Object. The aim of this study was to assess whether outcomes from excision of acoustic neuroma vary among patients and have a material impact on their quality of life (QOL). Methods. A questionnaire concerning postoperative symptoms and the Short Form 36 (SF-36) QOL instrument were mailed to 97 consecutive patients who had undergone acoustic neuroma surgery via the translabyrinthine approach. The survey response rate was 78% and the symptomatology was consistent with other reports, supporting the representativeness of the sample. The respondents' QOL was rated significantly below published norms and their work capacity was reportedly reduced. Specifically, the following SF-36 dimensions were reduced: physical functioning and role-physical, together with vitality, general health, and social functioning. Greater numbers of postoperative symptoms and larger tumors were associated with a worse rating of physical functioning. More severe balance problems were associated with lower ratings of social functioning. The disparity between the patient's self-estimate and self-measurement and the clinician's assessment of the patient's facial functioning raises doubts about the validity of subjective reports and assessment. Conclusions. The present study supports the use of generic QOL measures to assess outcome and to draw comparisons between different populations.


2020 ◽  
Vol 9 (8) ◽  
pp. 2505
Author(s):  
Zenon Brzoza ◽  
Katarzyna Nabrdalik ◽  
Lukasz Moos ◽  
Hanna Kwiendacz ◽  
Karina Badura-Brzoza ◽  
...  

Background and aims: Chronic spontaneous urticaria (CSU) and diabetes mellitus type 1 (T1DM) may compromise the quality of life (QoL). We decided to compare the QoL of T1DM patients to those suffering from CSU. Materials and methods: Sixty-six patients with well-controlled T1DM (male 52%) in the mean age of (SD) 36.3 (11.09) years and 51 patients with CSU (male 33%) in the mean age of (SD) 35.8 (8.53) years were enrolled in this observational study. All the participants completed a Short-Form 36 (SF-36) QoL. Results: The QoL related to social functioning was significantly worse among CSU patients. There were differences related to gender found in the group of patients with T1DM—where men tended to declare a better quality of life than women (p = 0.015)—especially in the area of energy/fatigue and pain. It appeared that due to physical and emotional problems occurring in married patients, the QoL is lower in T1DM group in comparison to the CSU one. Conclusions: The patients with CSU presented significantly worse social functioning compared to the ones with T1DM. This fact proves the QoL impairment level is not always related to the level of health danger. The differences in the QoL related to gender and marital status found among T1DM patients point to the necessity for further exploration in a larger group of patients. Due to the fact that optimal disease management should ensure patient’s good emotional well-being, there is a need for additional psychological and social care for patients from those two groups.


2014 ◽  
Vol 94 (9) ◽  
pp. 1327-1336 ◽  
Author(s):  
Chiara Pavese ◽  
Miriam Cecini ◽  
Nora Camerino ◽  
Annalisa De Silvestri ◽  
Carmine Tinelli ◽  
...  

Background The Facial Disability Index (FDI) is widely used for self-assessment of functional impairment and quality of life in patients with facial palsy. Objective The study aim was to complete the validation of the FDI by generating an Italian version (IT-FDI) and evaluating its clinimetric properties. Design This was a longitudinal, observational measurement study. Methods The questionnaire was translated, cross-culturally adapted, and administered to 100 consecutive participants (outpatients) with facial palsy. The clinical severity of facial palsy, impairments in physical and social function, and quality of life were evaluated with the Sunnybrook Facial Grading System, IT-FDI, and 12-Item Short-Form Health Survey. Results The IT-FDI showed excellent test-retest reliability for every item and for total scores (intraclass correlation coefficients of .93 and .84 for physical function subscale and social/well-being function subscale, respectively). The IT-FDI confirmed the high internal consistency of the original version, with theta coefficients of .82 for the physical function subscale and .78 for the social/well-being function subscale. The physical function subscale correlated with the Sunnybrook Facial Grading System composite score (r=.44), and the social/well-being function subscale correlated with the 12-Item Short-Form Health Survey mental component (r=.55). The IT-FDI confirmed the good responsiveness of the original version, as expressed by effect size, standardized response mean, and responsiveness ratio of, respectively, 1, 1.03, and 1.21 for the physical function subscale and 0.75, 0.83, and 1.15 for the social/well-being function subscale. Limitations Responsiveness was evaluated with a limited number of participants. Conclusions The results demonstrated the test-retest reliability for all items of the FDI and confirmed its internal consistency, construct validity, and responsiveness with an independent and larger clinical subset. This study completes the validation of the FDI and provides the first validated questionnaire in Italian for assessment of disability and quality of life specifically in patients with facial palsy.


2019 ◽  
Vol 23 (1) ◽  
Author(s):  
Jeany Freire de Oliveira ◽  
Christielle Lidianne Alencar Marinho ◽  
Rudval Souza da Silva ◽  
Gerlene Grudka Lira

Abstract Objective: evaluate the quality of life of patients with Chronic Kidney Disease on peritoneal dialysis using the KDQOL-SF tool. Method: quantitative-qualitative approach, carried out in August 2017 with 10 patients undergoing peritoneal dialysis followed-up at a clinic specialized in Renal Replacement Therapy. Data were collected through semi-structured interviews; later transcribed and submitted to Content Analysis, as well as the application of the Kidney Disease and Quality of Life Short-Form (KDQOL-SF) questionnaire. Results: from the analysis emerged three thematic categories with impacts on the social dimension: Kidney disease as stigma impacting on social relations; Family support as support for overcoming social stigma; and Changes in Daily Living Activities and their repercussions on the social dimension. Conclusion and implications for practice: the participants demonstrated that their Quality of Life has been affected with greater intensity in the social dimension. Identifying such a condition may allow the planning of nursing care with a comprehensive view and meeting the social dimension.


2018 ◽  
Vol 35 (5) ◽  
pp. 6-11
Author(s):  
O. V. Khegai ◽  
N. V. Selyanina ◽  
Yu. V. Karakulova

Aim. To estimate the degree of influence of non-motor manifestations on the quality of life among patients with Parkinson’s disease. Materials and methods. In the study, the “case-control” design was used, processing of the data was conducted with nonparametric methods. Complex examination of 58 patients with Parkinson’s disease was performed. The control group included 15 healthy persons. Results. Manifestation of cognitive, anxiety-depressive, vegetative symptoms in the main group was significantly higher than in the control. There was revealed a negative correlation dependence between the general manifestation of vegetative disorders and the social functioning indices (R = – 0.5; p = 0.001), pain intensity (R = – 0.5; p = 0.001) and psychical health (R = – 0.5; p = 0.005) that proves aggravation of the data on health components as the severity of symptoms was growing. The analyzed vegetative disorders of separate subsystems demonstrated the analogous tendencies. Severity of depressive symptoms influences the pain indices (R = – 0.4; p = 0.01) and the social functions (R = – 0.3; p = 0.03). According to unified scale, non-motor symptoms negatively influence the general health status (R = – 0.3; p = 0.001), social functioning (R= – 0.23; p = 0.004), pain assessment (R = – 0.5; p = 0.001). Conclusions. Non-motor symptoms aggravate the quality of life, influencing both physical and psychological component of health. The absence of correlation between the duration of therapy and the severity of non-motor symptoms confirms the independence of this block of symptoms.


2019 ◽  
Vol 1 (6) ◽  
pp. 56-60
Author(s):  
N. B. Gubergrits ◽  
E. A. Krylova ◽  
E. Yu. Plotnikova

In 72 patients with chronic pancreatitis were studied quality of life indicators using a common questionnaire the SF-36 (Short Form-36, Healt Status Survey) in the dynamics of treatment. It was established that the disease affects the quality of life of patients, affecting all levels of life:physical, emotional, role, psychological, social functioning. After treatment, the quality of life of patients significantly improved both indicators of physical and social health of patients increased the overall tone and physical activity during the day, improves sleep at night.


2017 ◽  
Vol 74 (8) ◽  
pp. 749-756
Author(s):  
Gordana Dedic ◽  
Nenad Milojkovic ◽  
Zoran Cukic ◽  
Dubravko Bokonjic

Background/Aim. Dialysis and kidney transplantation are treatments that can be applied to patients with the end-stage renal disease. There is a lack of information on the quality of life (QOL) among hemodialysis (HD) patients on the waiting list for a kidney transplant, a group that is increasing all over the world. The aim of this study was to investigate the quality of life of patients on HD waiting for a kidney transplant. Methods. In the clinical comparative 12-month study, QOL level was compared between consecutively recruited patients waiting for a kidney transplant (WT patients) (N = 24) and patients not waiting for a kidney transplant (non-WT patients) (N = 52). All patients were older than 18 years and were on HD at least three months. To measure QOL, the short Form Health Survey (SD-36) was used. Results. WT patients were younger (43.50 ? 12.64 vs 63.58 ? 13.88 years; p < 0.001), they had started dialysis in the younger age (32.38 ? 14.50 vs 57.12 ? 15.79 years; p < 0.001) and spent more time on dialysis (112.04 ? 82.48 vs 72.40 ? 81.31 months; p < 0.05) than non-WT patients. Non-WT patients had more comorbidities than WT patients (p < 0.01). In laboratory parameters, there were statistically significant differences in values of serum creatinine (p < 0.01), phosphorus (p < 0.05) and number used to quantyfy hemodialysis treatment adequacy (Kt/V index: K ? dialyzer clearance of urea; t ? dialysis time; V ? volume of distribution of urea approx equal to patients? total body water) (p < 0.05). Mean scores were higher among WT patients compared to non-WT patients in four dimensions of QOL: Physical Function (PF) (83.33 ? 10.59 vs 66.53 ? 27.87; respectively p > 0.05), Role Physical (RP) (58.66 ? 21.39 vs 46.90 ? 23.73; respectively p > 0.05), General health (GH) (45.00 ? 14.81 vs 37.98 ? 12.88; respectively p > 0.05); Social Functioning (SF) (93.66 ? 16.10 vs 78.30 ? 29.80; respectively p > 0.05) including Physical Component Summary (PCS) scores (64.16 ? 13.77 vs 52.38 ? 19.53; respectively p > 0.05). Conclusion. Patients waiting for a kidney transplant were younger, had started dialysis in the younger age and spent longer on dialysis compared with patients not eligible for transplantation. Low comorbidity, better laboratory parameters interferes in all domains with higher values of QOL in patients waiting for a kidney transplant, especially in general health, physical conditions and social functioning.


2018 ◽  
Vol 27 (2) ◽  
pp. 152-156 ◽  
Author(s):  
Katerina Karaivazoglou ◽  
Ermioni Papadaki ◽  
Gregoris Iconomou ◽  
Gerasimos Touliatos ◽  
Sotirios Kotsopoulos ◽  
...  

Objectives: The current study’s aim was to measure anxiety, depression and quality of life in parents of children referred for developmental evaluation. Methods: The Hospital Anxiety and Depression Scale and the Short Form 36 Health Survey were used to assess anxiety, depression and quality of life, respectively. Results: One hundred and thirty parents participated in the study, 95 with a child referred for evaluation and 35 with healthy children. Parents of developmentally impaired children reported increased anxiety ( p=0.002) and depression ( p<0.001) and worse social functioning ( p=0.002) and mental health ( p=0.017). Mothers of developmentally impaired children reported significantly increased anxiety symptoms ( p=0.012) and bodily pain ( p=0.046) and lower levels of vitality ( p=0.009), social functioning ( p=0.005) and mental health ( p=0.008). More children in the family correlated with increased anxiety scores ( p=0.021), while higher child age was associated with more anxiety symptoms ( p=0.002), more role limitations due to emotional problems ( p=0.003) and worse mental health ( p=0.002). Conclusions: Parenting children with developmental difficulties is associated with significant psychological distress and disturbed quality of life.


2017 ◽  
Vol 76 (8) ◽  
pp. 936-945 ◽  
Author(s):  
Yaira Barranco-Ruiz ◽  
Sandra Mandic ◽  
Susana Paz-Viteri ◽  
Marcela Guerendiain ◽  
FaustoVinicio Sandoval ◽  
...  

Objective: To investigate the effects of a short exercise intervention based on the use of a Zumba Fitness® programme on the quality of life (QoL) in inactive adult workers. Design: Non-experimental pre-test/post-test study involving one experimental group of inactive university workers. Setting: Riobamba in the Andean region of central Ecuador. Methods: A total of 60 inactive adults working at a university (age: 39 ± 1.0 years; 80% women, who used to perform < 150 min of moderate-vigorous physical activity per week) completed a 5-week Zumba Fitness® exercise intervention (three classes per week, 60 minutes per class; outside of work hours). QoL was assessed using the 36-Item Short Form Health Survey (SF-36) administered at baseline, post-intervention and 2 months after the intervention. Data were analysed using a per-protocol analysis. Results: The 5-week intervention improved six out of eight subscales of QoL, including general health (baseline: 63.6±2.51; post-intervention: 68.0±2.5; p = .007), physical role (baseline: 82.1±3.8; post-intervention: 90.6±3.3; p = .029), emotional role (baseline: 71.3±5.0; post-intervention: 88.3±3.9; p = .001), social functioning (baseline: 76.9±2.6; post-intervention: 83.9 ± 2.6; p = .010), vitality (baseline: 60.4±2.8; post-intervention: 69.8±2.4; p < .001), mental health (baseline: 72.4±2.5; post-intervention: 80.4±2.3; p < .001) and the health transition perception item (baseline: 53.9±3.5; post-intervention: 63.6±3.1; p = .001). No statistical differences were found between post-intervention and 2-month follow-up; however, the majority of subscales which improved post-intervention (general health, emotional role, social functioning, vitality and mental health) were maintained at 2-month follow-up showing differences ( p < .05) compared to baseline. Conclusion: A 5-week exercise intervention based on Zumba Fitness® programme could improve QoL in inactive adult workers and most improvements could be maintained at 2 months post-intervention.


2019 ◽  
Vol LI (1) ◽  
pp. 84-90
Author(s):  
Rustem R Khamitov ◽  
Alla P Romanova

The article analyzes the social functioning and quality of life of women with mental disorders. The relationship of demographic and premorbid factors with violent delicts were examined. The analysis of influence on the criminal behavior of the alcohol abuse and psychoactive substance addiction was carried out, as well as neglect, lack of housing and antisocial environment.


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